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Computer-Based Coding of Occupation Codes for Epidemiological Analyses. 流行病学分析职业代码计算机编码。
Pub Date : 2014-05-01 DOI: 10.1109/CBMS.2014.79
Daniel E Russ, Kwan-Yuet Ho, Calvin A Johnson, Melissa C Friesen

Mapping job titles to standardized occupation classification (SOC) codes is an important step in evaluating changes in health risks over time as measured in inspection databases. However, manual SOC coding is cost prohibitive for very large studies. Computer based SOC coding systems can improve the efficiency of incorporating occupational risk factors into large-scale epidemiological studies. We present a novel method of mapping verbatim job titles to SOC codes using a large table of prior knowledge available in the public domain that included detailed description of the tasks and activities and their synonyms relevant to each SOC code. Job titles are compared to our knowledge base to find the closest matching SOC code. A soft Jaccard index is used to measure the similarity between a previously unseen job title and the knowledge base. Additional information such as standardized industrial codes can be incorporated to improve the SOC code determination by providing additional context to break ties in matches.

将职称映射到标准化职业分类(SOC)代码是评估检查数据库中测量的健康风险随时间变化的重要步骤。然而,手动SOC编码对于非常大的研究来说成本过高。基于计算机的SOC编码系统可以提高将职业危险因素纳入大规模流行病学研究的效率。我们提出了一种将逐字职位名称映射到SOC代码的新方法,该方法使用公共领域中可用的大量先验知识表,其中包括与每个SOC代码相关的任务和活动及其同义词的详细描述。职位名称与我们的知识库进行比较,以找到最接近的匹配SOC代码。软Jaccard指数用于衡量以前未见过的职位与知识库之间的相似性。其他信息,如标准化工业代码,可以通过提供额外的上下文来打破匹配中的联系,以改善SOC代码的确定。
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引用次数: 0
The role of medical data analytics in reducing health fraud and improving clinical and financial outcomes 医疗数据分析在减少医疗欺诈和改善临床和财务结果方面的作用
Pub Date : 2013-06-20 DOI: 10.1109/CBMS.2013.6627755
R. B. Rao
Consider the following healthcare trends: (1) There is a tremendous increase in the amount of patient, life sciences and process data in electronic form, fueled by advances in healthcare IT technology, and health reform legislation. (2) The amount of medical information (e.g., evidence-based knowledge) and published knowledge is said to be doubling every few years. (3) There is an explosion in the number of available therapies and diagnostic options for patient care, often enabling precise targeting of therapy to disease conditions. In this talk we will discuss these trends and some of the reasons why, despite these advances, healthcare is facing a crisis: namely, there is a steady unsustainable increase in medical costs without a corresponding improvement of patient outcomes. We believe that analysis of clinical, life sciences and medical process data can play a key role in tackling these fundamental challenges. Two technology advances, in particular, can play a key role: cloud computing and mobility will make it possible to analyze vast amounts of data and quickly deliver useful information to clinicians, consumers and researchers at the point where it can have the most impact. Some of this is already happening today, with medical records being analyzed to reduce fraud, waste and abuse, improve patient outcomes, and to improve compliance with standards of care and policy guidelines. We conclude the talk with a glimpse of a future where medical systems could be continually analyzed for optimizing healthcare costs and outcomes.
考虑以下医疗保健趋势:(1)由于医疗保健IT技术的进步和医疗改革立法的推动,电子形式的患者、生命科学和流程数据的数量急剧增加。(2)医学信息(如循证知识)和已发表知识的数量据说每隔几年就翻一番。(3)可用于病人护理的治疗方法和诊断选择的数量呈爆炸式增长,通常能够针对疾病状况进行精确的治疗。在这次演讲中,我们将讨论这些趋势,以及尽管取得了这些进步,医疗保健仍面临危机的一些原因:即,医疗费用持续增长,而患者的治疗效果却没有相应改善。我们相信,对临床、生命科学和医疗过程数据的分析可以在应对这些基本挑战方面发挥关键作用。特别是两项技术进步可以发挥关键作用:云计算和移动性将使分析大量数据成为可能,并在影响最大的时候迅速向临床医生、消费者和研究人员提供有用的信息。其中一些已经在今天发生,通过分析医疗记录来减少欺诈、浪费和滥用,改善患者的治疗效果,并改善对护理标准和政策指导方针的遵守。我们以对未来医疗系统可以不断分析以优化医疗成本和结果的一瞥来结束谈话。
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引用次数: 13
Bayesian networks to answer challenging neuroscience questions 贝叶斯网络来回答具有挑战性的神经科学问题
Pub Date : 2013-06-20 DOI: 10.1109/CBMS.2013.6627754
P. Larrañaga, C. Bielza
Summary form only given. In this keynote lecture we will show how Bayesian networks can address important neuroscience problems. These problems include: (a) neuroanatomy issues, like modeling and simulation of dendritic trees and classifying neuron types based on morphological features; (b) neurodegenerative diseases, like predicting health-related quality of life in Parkinson's disease, classification of dementia stages in Parkinson's disease and searching for genetic biomarkers in Alzheimer's disease.
只提供摘要形式。在这次主题演讲中,我们将展示贝叶斯网络如何解决重要的神经科学问题。这些问题包括:(a)神经解剖学问题,如树突树的建模和模拟以及基于形态学特征的神经元类型分类;(b)神经退行性疾病,如预测帕金森病患者与健康相关的生活质量,帕金森病患者痴呆阶段的分类,以及寻找阿尔茨海默病的遗传生物标志物。
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引用次数: 1
Why don't engineers and clinicians talk the same language - And what to do about it? 为什么工程师和临床医生说的不是同一种语言?对此该怎么办?
Pub Date : 2013-06-20 DOI: 10.1109/CBMS.2013.6627753
J. Wyatt
In my experience, presentations at AIME, IEEE or EFMI conferences often describe work by academic engineers using patients as a source of data to explore new modelling methods, and few demonstrate convincing solutions to real world clinical problems. One reason for this is that many doctors make themselves inaccessible, so engineers find it hard to engage them in projects. Since healthcare and medical work are very complex, it takes years of exposure to clinicians and healthcare settings for an engineer to understand real-world patient management problems in sufficient detail to help solve them. This means that sometimes, an engineer might believe they have solved the problem, while to a clinician they have only explored an irrelevant simplification of it. Another explanation is that some engineering academics have had their fingers burned by clinicians, who expect the engineer to carry out an everyday system development task with no research payload. Such engineers will become suspicious of engaging too closely with doctors. Cynics might be less fair, observing that since medical research is well funded, there is a tendency for engineers to apply any novel engineering method to a simplified health data as this is more likely to attract funding than applying their method to, say, linguistics data. However, I believe there is a deeper explanation of why so few bioengineering projects seem to bear clinically digestible fruit: there are fundamental differences in motivation, research focus and research methods between engineering and healthcare research domains, and in the kind of problems they address. For example, the engineering approaches used in the Virtual Physiological Human programme mainly involve data mining and modelling, while clinicians emphasise using psychological, social or other theories to understand and formalise a complex problem first, then use empirical testing to find out whether a theory-based solution works - the evidence based approach. It is clearly unhelpful for engineers to criticise doctors as being poor collaborators in multidisciplinary projects, just as it is for doctors to criticise engineers. So, the aim of this talk is to move beyond name calling to explore common ground constructively and to provoke useful reflection and discussion, both within and across these disciplines. This talk will therefore explore some of the similarities and differences between engineering and healthcare as research disciplines, their respective approaches to problem solving and attempt to build bridges between these two very different worlds. In conclusion, unless we describe the features of this uneasy stand-off between engineers and clinicians, confront it head on and provoke debate, it looks set to continue. This will reduce productivity on both sides and limit the enormous scientific, economic and social benefits that novel, clinically appropriate and collaboratively engineered systems can generate.
根据我的经验,在AIME, IEEE或EFMI会议上的演讲经常描述学术工程师使用患者作为数据来源来探索新的建模方法的工作,很少有令人信服的解决方案来解决现实世界的临床问题。其中一个原因是,许多医生不愿与人接触,因此工程师很难让他们参与项目。由于医疗保健和医疗工作非常复杂,工程师需要多年接触临床医生和医疗保健环境,才能充分详细地了解现实世界中的患者管理问题,从而帮助解决这些问题。这意味着,有时候,工程师可能会认为他们已经解决了问题,而对临床医生来说,他们只是探索了一个无关紧要的简化。另一种解释是,一些工程学者已经被临床医生烫伤了,他们希望工程师在没有研究负载的情况下执行日常系统开发任务。这些工程师会对与医生过于密切的接触产生怀疑。愤世嫉俗者可能就不那么公平了,他们观察到,由于医学研究得到了充足的资助,工程师们倾向于将任何新颖的工程方法应用于简化的健康数据,因为这比将他们的方法应用于语言学数据更有可能吸引资金。然而,我相信有一个更深层次的解释,为什么如此少的生物工程项目似乎产生临床可消化的成果:在动机、研究重点和研究方法上,工程和医疗保健研究领域之间存在根本差异,以及它们所解决的问题类型。例如,在虚拟生理人项目中使用的工程方法主要涉及数据挖掘和建模,而临床医生强调首先使用心理学、社会或其他理论来理解和形式化一个复杂的问题,然后使用经验测试来找出基于理论的解决方案是否有效——基于证据的方法。工程师批评医生在多学科项目中合作不佳显然是无益的,就像医生批评工程师一样。所以,这次演讲的目的是超越谩骂,建设性地探索共同点,并在这些学科内部和学科之间引发有益的反思和讨论。因此,本讲座将探讨工程和医疗保健作为研究学科之间的一些异同,他们各自解决问题的方法,并试图在这两个截然不同的世界之间建立桥梁。总之,除非我们描述工程师和临床医生之间这种令人不安的对峙的特点,正面面对它并引发辩论,否则这种对峙似乎将继续下去。这将降低双方的生产力,并限制新颖的、临床适用的和协作设计的系统所能产生的巨大的科学、经济和社会效益。
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引用次数: 0
AudioSense: Enabling Real-time Evaluation of Hearing Aid Technology In-Situ. AudioSense:实现助听器技术的实时评估。
Pub Date : 2013-01-01 DOI: 10.1109/CBMS.2013.6627783
Syed Shabih Hasan, Farley Lai, Octav Chipara, Yu-Hsiang Wu

AudioSense integrates mobile phones and web technology to measure hearing aid performance in real-time and in-situ. Measuring the performance of hearing aids in the real world poses significant challenges as it depends on the patient's listening context. AudioSense uses Ecological Momentary Assessment methods to evaluate both the perceived hearing aid performance as well as to characterize the listening environment using electronic surveys. AudioSense further characterizes a patient's listening context by recording their GPS location and sound samples. By creating a time-synchronized record of listening performance and listening contexts, AudioSense will allow researchers to understand the relationship between listening context and hearing aid performance. Performance evaluation shows that AudioSense is reliable, energy-efficient, and can estimate Signal-to-Noise Ratio (SNR) levels from captured audio samples.

AudioSense集成了移动电话和网络技术,实时和原位测量助听器的性能。在现实世界中测量助听器的性能具有重大挑战,因为它取决于患者的听力环境。AudioSense使用生态瞬时评估方法来评估感知助听器的性能以及使用电子调查来表征听力环境。AudioSense通过记录患者的GPS位置和声音样本进一步表征患者的听力环境。通过创建听力表现和听力环境的时间同步记录,AudioSense将使研究人员能够了解听力环境和助听器性能之间的关系。性能评估表明,AudioSense是可靠的、节能的,并且可以从捕获的音频样本中估计信噪比(SNR)水平。
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引用次数: 26
Inexpensive Monocular Pico-Projector-based Augmented Reality Display for Surgical Microscope. 廉价的手术显微镜单目微投影仪增强现实显示器。
Pub Date : 2012-01-01 DOI: 10.1109/CBMS.2012.6266298
Chen Shi, Brian C Becker, Cameron N Riviere

This paper describes an inexpensive pico-projector-based augmented reality (AR) display for a surgical microscope. The system is designed for use with Micron, an active handheld surgical tool that cancels hand tremor of surgeons to improve microsurgical accuracy. Using the AR display, virtual cues can be injected into the microscope view to track the movement of the tip of Micron, show the desired position, and indicate the position error. Cues can be used to maintain high performance by helping the surgeon to avoid drifting out of the workspace of the instrument. Also, boundary information such as the view range of the cameras that record surgical procedures can be displayed to tell surgeons the operation area. Furthermore, numerical, textual, or graphical information can be displayed, showing such things as tool tip depth in the work space and on/off status of the canceling function of Micron.

本文介绍了一种廉价的基于微投影仪的增强现实(AR)手术显微镜显示器。该系统是为Micron设计的,Micron是一种主动手持式手术工具,可以消除外科医生的手部震颤,以提高显微手术的准确性。使用AR显示器,可以将虚拟线索注入显微镜视图中,以跟踪Micron尖端的运动,显示所需的位置,并指示位置误差。通过帮助外科医生避免游离于器械的工作空间之外,提示可以用来保持高水平的手术表现。此外,可以显示记录手术过程的摄像机的视野范围等边界信息,以告诉外科医生手术区域。此外,还可以显示数字、文本或图形信息,显示工作空间中的刀尖深度和Micron取消功能的开/关状态。
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引用次数: 0
Proceedings of the 24th International Symposium on Computer-Based Medical Systems - CBMS 2011 Bristol, UK 第24届计算机医疗系统国际研讨会论文集- CBMS 2011,英国布里斯托尔
Pub Date : 2011-06-27 DOI: 10.1109/CBMS.2011.5999022
T. Solomonides
The 24th International Symposium on Computer-Based Medical Systems, CBMS 2011, took place at the University of the West of England, Bristol, UK, on 27th to 30th June 2011. As a special feature, instead of the traditional (since 2005) special track on “healthgrids”, i.e. grid computing for biomedicine and healthcare, latterly encompassing cloud computing also, the conference HealthGrid 2011 colocated with CBMS to the benefit of both. This was the culmination of a hope that those of us working at UWE had entertained since 2008. The invitation to CBMS was first made in Jyvaskyla in 2008, became a formal proposal in Albuquerque in 2009 and was confirmed in Perth in 2010. As for HealthGrid, it seemed an opportunity not to be missed to colocate with CBMS in Bristol, only the second time the conference has been awarded to a British city (after Oxford in 2005).
2011年第24届计算机医疗系统国际研讨会(CBMS 2011)于2011年6月27日至30日在英国布里斯托尔西英格兰大学举行。作为一个特别的特点,2011年HealthGrid会议与CBMS同时举行,而不是传统的(自2005年以来)关于“健康网格”的特别专题,即生物医学和医疗保健的网格计算,最近也包括云计算。这是我们这些在UWE工作的人自2008年以来一直抱有的希望的高潮。CBMS的邀请于2008年在Jyvaskyla首次提出,2009年在Albuquerque成为正式提案,并于2010年在珀斯得到确认。至于HealthGrid,与布里斯托尔的CBMS合作似乎是一个不容错过的机会,这是继2005年牛津之后,该会议第二次被授予英国城市。
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引用次数: 0
Rotation Forest and Random Oracles: Two Classifier Ensemble Methods 旋转森林和随机预言器:两种分类器集成方法
Pub Date : 2007-06-20 DOI: 10.1109/CBMS.2007.94
Juan José Rodríguez Diez
Classification methods are widely used in computer-based medical systems. Often, the accuracy of a classifier can be improved using a classifier ensemble, the combination of several classifiers. Two classifiers ensembles and their results on several medical data sets will be presented: Rotation Forest (Rodriguez, Kuncheva and Alonso) and Random Oracles (Kuncheva and Rodriguez). Rotation Forest is a method for generating classifier ensembles based on feature extraction. To create the training data for a base classifier, the feature set is randomly split into K subsets (K is a parameter of the algorithm) and Principal Component Analysis (PCA) is applied to each subset. All principal components are retained in order to preserve the variability information in the data. Thus, K axis rotations take place to form the new features for a base classifier. The idea of the rotation approach is to encourage simultaneously individual accuracy and diversity within the ensemble. Diversity is promoted through the feature extraction for each base classifier. Decision trees were chosen here because they are sensitive to rotation of the feature axes, hence the name "forest." Accuracy is sought by keeping all principal components and also using the whole data set to train each base classifier. Comparisons with various standard ensemble methods (Bagging, AdaBoost, and Random Forest) will be reported. Diversity-error diagrams reveal that Rotation Forest ensembles construct individual classifiers which are more accurate than these in AdaBoost and Random Forest and more diverse than these in Bagging, sometimes more accurate as well. A random oracle classifier is a mini-ensemble formed by a pair of classifiers and a fixed, randomly created oracle that selects between them. The random oracle can be thought of as a random discriminant function which splits the data into two subsets with no regard of any class labels or cluster structure. Two random oracles has been considered: linear and spherical. A random oracle classifier can be used as the base classifier of any ensemble method. It is argued that this approach encourages extra diversity in the ensemble while allowing for high accuracy of the individual ensemble members. Experiments with several data sets from UCI and 11 ensemble models will be reported. Each ensemble model will be examined with and without the oracle. The results will show that all ensemble methods benefited from the new approach, most markedly so random subspace and bagging. A further experiment with seven real medical data sets will demonstrate the validity of these findings outside the UCI data collection. When using Naive Bayes Classifiers as base classifiers, the experiments show that ensembles based solely upon the spherical oracle (and no other ensemble heuristic) outrank Bagging, Wagging, Random Subspaces, AdaBoost.Ml, MultiBoost and Decorate. Moreover, all these ensemble methods are better with any of the two random oracles than their standard
分类方法广泛应用于基于计算机的医疗系统中。通常,可以使用分类器集成(多个分类器的组合)来提高分类器的准确性。将介绍两种分类器集合及其在若干医疗数据集上的结果:轮换森林(Rodriguez, Kuncheva和Alonso)和随机预言器(Kuncheva和Rodriguez)。旋转森林是一种基于特征提取的分类器集成生成方法。为了创建基分类器的训练数据,将特征集随机分成K个子集(K是算法的一个参数),并对每个子集应用主成分分析(PCA)。为了保留数据中的变异性信息,保留了所有主成分。因此,发生K轴旋转以形成基本分类器的新特征。旋转方法的想法是同时鼓励个人的准确性和多样性在整体。通过对每个基分类器的特征提取来提升多样性。这里选择决策树是因为它们对特征轴的旋转很敏感,因此被称为“森林”。准确性是通过保留所有主成分和使用整个数据集来训练每个基分类器来寻求的。将报告与各种标准集成方法(Bagging, AdaBoost和Random Forest)的比较。多样性误差图显示,旋转森林集成构建的单个分类器比AdaBoost和Random Forest中的分类器更准确,比Bagging中的分类器更多样化,有时也更准确。随机oracle分类器是由一对分类器和一个固定的、随机创建的、在它们之间进行选择的oracle组成的小型集合。随机oracle可以被认为是一个随机判别函数,它将数据分成两个子集,而不考虑任何类标签或聚类结构。考虑了两种随机的神谕:线性的和球形的。随机oracle分类器可以作为任何集成方法的基础分类器。有人认为,这种方法鼓励了集合中额外的多样性,同时允许单个集合成员的高精度。本文将报道使用来自UCI和11个集成模型的几个数据集的实验。每个集成模型将在有或没有oracle的情况下进行检查。结果表明,所有的集成方法都受益于新方法,其中最明显的是随机子空间和套袋。对七个真实医疗数据集的进一步实验将证明这些发现在UCI数据收集之外的有效性。当使用朴素贝叶斯分类器作为基本分类器时,实验表明,仅基于球形预测(而没有其他集成启发式)的集成优于Bagging, Wagging, Random Subspaces, AdaBoost。Ml,多重增强和装饰。此外,所有这些集成方法使用任意两种随机oracle都比不使用oracle的标准版本要好。
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引用次数: 11
Wearable ECG Recognition and Monitor 穿戴式心电识别与监护
Pub Date : 2005-01-01 DOI: 10.1109/CBMS.2005.106
Jun Dong, Miao Xu, Hong-hai Zhu, Wei-feng Lu
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引用次数: 9
Preliminary Instrumentation for the Efficient Use of Web-Based Electronic Health Records 有效使用基于网络的电子健康记录的初步仪器
Pub Date : 2004-01-01 DOI: 10.1109/CBMS.2004.1311683
S. Henrard
NIST has devised preliminary elements (technical “hooks”) of a convenient logging method for Web-based electronic health record (EHR) dialogues. These can identify fields, record times spent at each (by whomever), and log a sequence of visits. The next step will be to refine this promising start, to begin building upon it a more polished and user-friendly system. We present our results to gain impressions from users of the worth of simple, open tools for tuning and improving e-record flows and their corresponding with practice workflows.
NIST已经为基于web的电子健康记录(EHR)对话设计了一个方便的日志记录方法的初步元素(技术“钩子”)。它们可以识别字段,记录每个字段(由任何人)花费的时间,并记录访问序列。下一步将是完善这个有希望的开端,开始在此基础上建立一个更完善和用户友好的系统。我们展示了我们的结果,以获得用户对简单、开放的工具的价值的印象,这些工具用于调整和改进电子记录流及其与实践工作流程的对应。
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引用次数: 1
期刊
Proceedings. IEEE International Symposium on Computer-Based Medical Systems
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